Doctor Name: | BACHANNE BOODOOSINGH |
NPI Number: | 1053608422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1155 |
Business Practice Address: | Bo. Susua Baja Sector Geminis Calle Los Casianos Yauco, PR - 006980098 |
Business Phone Number: | 7878563347 |
Business Fax Number: | 7879928343 |
Mailing Address: | Hc 4 Box 12052, YAUCO |
State: | PR |
Postal Code: | 006989610 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/06/2011 |
NPI Last Update Date: | 07/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 1155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |